| Entity Name: | ARIEL J. GOITIA MD CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | P22000086064 |
| FEI/EIN Number | 92-1082063 |
| Address: | 3625 nw 82 ave, MIAMI, FL, 33166, US |
| Mail Address: | 3625 sw 82 ave, MIAMI, FL, 33166, US |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538878202 | 2022-11-21 | 2024-01-30 | 3625 NW 82ND AVE STE 408, DORAL, FL, 331667602, US | 3625 NW 82ND AVE STE 408, DORAL, FL, 331667602, US | |||||||||||||||||||||||
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| Phone | +1 786-425-7777 |
| Phone | +1 305-939-6877 |
Authorized person
| Name | ARIEL JOAQUIN GOITIA |
| Role | DOCTOR / PSYCHIATRIST |
| Phone | 7864257777 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOITIA ARIEL J | Agent | 10001 SW 70 ST, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| GOITIA ARIEL J | President | 10001 SW 70 ST, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-18 | 3625 nw 82 ave, 408, MIAMI, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-18 | 3625 nw 82 ave, 408, MIAMI, FL 33166 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-03-18 |
| Domestic Profit | 2022-11-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
